MEDICARE: JOCELYN ARACELI MENDOZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		AZ

General Provider Information

NPI Number	:	1306708052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN ARACELI MENDOZA

Provider Business Mailing Address
First Line	:	401 N 119TH DR
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85323
Country	:	US
Telephone Number	:	623-800-2734
Fax Number	:

Provider Business Practice Location Address
First Line	:	11225 N 28TH DR STE C202
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5600
Country	:	US
Telephone Number	:	480-757-8090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ JOCELYN ARACELI MENDOZA ” Practice Location

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